Individual
JOHNTHAP OBAKPOLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
(612) 482-2034
Mailing address
12682 88TH AVE N, MAPLE GROVE, MN 55369-3044
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13722
MN
Other
Enumeration date
12/15/2025
Last updated
01/08/2026
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